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Connecticut Medicaid Reimbursement and …

    https://portal.ct.gov/DSS/Health-And-Home-Care/Reimbursement-and-Certificate-of-Need/Reimbursement-and-Certificate-of-Need
    The primary functions of Reimbursement and Certificate of Need (CON) include establishment of payment rates for Connecticut's Mediciad medical and residential care services, cost report auditing, and performing certificate of need reviews for nursing facilities, residential care homes, and ICF/MR development projects. Cost based rates are issued on an annual basis by the unit for services ...

Medicaid Nursing Home Reimbursement--Nursing …

    https://portal.ct.gov/DSS/Health-And-Home-Care/Medicaid-Nursing-Home-Reimbursement/Medicaid-Nursing-Home-Reimbursement/Nursing-Facility-Rates
    SFY 2021 Nursing Facility Rates (7/1/20, 10/1/20, 1/1/21) Nursing Facility Rates Effective October 2020. SFY 2022 Nursing Facility Rates. SFY 2023 Nursing …

Medicaid Hospital Reimbursement--Fees - ct

    https://portal.ct.gov/DSS/Health-And-Home-Care/Medicaid-Hospital-Reimbursement/Medicaid-Hospital-Reimbursement/Fees
    Fees/Payment. July 1, 2016 - DSS issued outpatient rates effective for dates of service on and after July 1, 2016 using the Ambulatory Payment Classification (APC). July 1, 2015 - …

Medicaid Hospital Reimbursement - ct

    https://portal.ct.gov/DSS/Health-And-Home-Care/Medicaid-Hospital-Reimbursement/Medicaid-Hospital-Reimbursement
    Effective for admissions on or after January 1, 2015, Connecticut Medicaid, working with consultants at Mercer, Myers & Stauffer, and Hewlett Packard (HP), moved from an …

Medicaid Nursing Home Reimbursement - ct

    https://portal.ct.gov/DSS/Health-And-Home-Care/Medicaid-Nursing-Home-Reimbursement/Medicaid-Nursing-Home-Reimbursement
    Reimbursement and CON is responsible for Medicaid State Plan Amendments that are necessary to obtain Federal matching funds for nursing home services provided through …

Connecticut | Medicaid

    https://www.medicaid.gov/state-overviews/stateprofile.html?state=Connecticut
    As of December 2019, has enrolled 985,201 individuals in Medicaid and CHIP — a net increase of 57.29% since the first Marketplace Open Enrollment Period and related …

Nursing Home Medicaid Reimbursement 101

    https://www.cga.ct.gov/app/related/20230210_Informational%20Forum%20on%20Nursing%20Home%20Reimbursement%20Rates/Presentation%20by%20Mag%20Morelli%20and%20Matthew%20Barrett.pdf
    How Nursing Home Medicaid Rates are Determined: Changes Occurring Now - Acuity •In 2019, CT redesigned the cost-based reimbursement to add a quarterly …

Home [www.ctdssmap.com]

    https://www.ctdssmap.com/CTPortal/portals/0/StaticContent/Publications/Fee_Schedule_Instructions.pdf
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Rate Review and Rate Guides | Medicaid

    https://www.medicaid.gov/medicaid/managed-care/guidance/rate-review-and-rate-guides/index.html
    2022-2023 Medicaid Managed Care Rate Development Guide. CMS is releasing the 2022-2023 Medicaid Managed Care Rate Development Guide for states to use when setting …

Fee Schedules - General Information | CMS

    https://www.cms.gov/medicare/medicare-fee-for-service-payment/feeschedulegeninfo
    A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. This comprehensive listing of fee maximums is used to …



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